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[Indications and outcome of anal sphincter myectomy in childhood]

L Wessel1, S Holland-Cunz, S Hosie

  • 1Chirurgische Universitätsklinik, Mannheim.

Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1996
PubMed

Insights

Lynn's anal sphincterectomy offers relief for pediatric chronic constipation and dysganglionosis. This study found a 30% decrease in anal resting tone, correlating with improved symptoms in children.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Colorectal surgery

Context:

  • Chronic constipation and dysganglionosis in children are challenging conditions.
  • Lynn's anal sphincterectomy is an established but debated treatment.
  • Lack of consensus on indications and contradictory results necessitate further investigation.

Purpose:

  • To evaluate the efficacy of anal sphincterectomy in pediatric patients with chronic constipation and dysganglionosis.
  • To clarify indications and assess outcomes using objective and subjective measures.

Summary:

  • Thirty-three children with elevated anal resting tone were divided into chronic constipation (n=12) and dysganglionosis (n=21) groups.
  • All underwent conservative treatment for at least six months prior to surgery.
  • Post-operative anorectal manometry revealed a 30% decrease in anal resting tone, correlating with subjective symptom relief.

Impact:

  • Provides objective evidence supporting anal sphincterectomy for specific pediatric anorectal conditions.
  • Suggests a potential role for manometry in patient selection and outcome assessment.
  • Contributes to a clearer understanding of treatment efficacy in pediatric functional bowel disorders.

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